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Illinois rates for HCPCS 22858

Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.41 / $1,326.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,312.06 / $7,084.64 / $14,186.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $26,502.00 / $29,075.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.01 / $896.05 / $2,788.87
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00